关节动脉的解剖学及其在足手术中的作用
Alejandro Ordas-Bayon1,2, Clara Simón de Blas3, Manuel Rodríguez-Vegas4
1Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Foot & ankle international
|June 21, 2025
概括
这项研究详细介绍了关动脉分支的变化,确定了六种类型,并强调了绘制这条动脉图的重要性,以防止手术并发症. 了解这些解剖模式对于安全的脚手术至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 血管外科 血管外科
- 手术解剖学手术解剖学
背景情况:
- 关动脉的末端分布在手术过程中至关重要.
- 占主导地位的门动脉 (大门动脉) 发生在5%的人口中,供应整个脚部.
研究的目的:
- 详细说明关动脉的末端分布.
- 为了分类关动脉分支模式的变化.
- 为了告知外科规划,并减少阳性损伤.
主要方法:
- 54个尸体标本 (44个捐赠者) 的解剖学剖析.
- 收集了关于供体人口统计 (年龄,性别) 和样本横向性的数据.
- 详细测量分支距离,直径和靠近骨的距离.
主要成果:
- 确定了六种门动脉末端分布的类型,其中1型 (分叉) 是最常见的 (40.7%).
- 记录了分支的变化,包括三叉和动脉分支.
- 在5.56%的标本中观察到主导性腹动脉;没有发现显著的侧面或性别差异.
结论:
- 关节动脉与骨的距离,分支变化和主导模式需要在手术期间进行鉴定,以避免血管并发症.
- 在后脚接近过程中,建议识别周血管束并远距离进行剖析.
- 了解这些解剖学变异有助于防止在足手术期间发生阴性损伤.
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